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無断転載禁止 |
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運動負荷心肺機能検査 |
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[肺機能検査] |
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VC |
2.81 |
(L) |
CV |
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(%) |
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MVV: |
42.70 |
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%VC |
87.9 |
(%) |
dN2 |
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(%) |
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THR: |
149 |
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FVC |
2.72 |
(L) |
TLC |
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(L) |
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%FVC |
85.1 |
(%) |
RV/TLC |
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(%) |
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FEV1.0 |
1.22 |
(L) |
DLCO |
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%FEV1 |
46.3 |
(%) |
%DLCO |
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(%) |
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FEV1.0% |
44.9 |
(%) |
DLCO/VA |
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FEV1/VCp |
38.2 |
(%) |
Vtg |
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IC |
1.87 |
(%) |
FRC |
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[心肺機能検査] |
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protocol: |
Erogo漸増 |
10 |
Watt |
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運動時間: |
8分45秒 |
中止理由: |
息切れ 下肢 |
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安静時 |
2分後 |
4分後 |
6分後 |
8分後 |
10分後 |
12分後 |
14分後 |
16分後 |
終了時 |
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Watt |
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10 |
20 |
30 |
40 |
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40 |
(/min) |
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Borg
Scale |
0/0 |
0/0 |
0.5/0 |
0.5/0 |
0.5/0 |
1/0.5 |
2/2 |
3/3 |
4/4 |
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7/7 |
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RR |
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28 |
21 |
25 |
26 |
29 |
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32 |
(/min) |
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TV |
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507 |
921 |
970 |
1097 |
1104 |
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1084 |
(ml) |
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VE |
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12.7 |
18.9 |
23.8 |
28.1 |
31.1 |
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34.4 |
(L/min) |
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VO2 |
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172 |
361 |
451 |
626 |
582 |
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691 |
(ml/min) |
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VO2/W |
3.8 |
8.0 |
10 |
13.9 |
12.9 |
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15.4 |
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VCO2 |
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152 |
367 |
499 |
631 |
712 |
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789 |
(ml/min) |
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R |
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0.88 |
1.02 |
1.11 |
1.01 |
1.22 |
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1.14 |
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VE/VO2 |
74 |
52 |
53 |
45 |
53 |
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50 |
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VE/VCO2 |
84 |
52 |
48 |
45 |
44 |
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44 |
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VD/VT |
0.50 |
0.41 |
0.36 |
0.33 |
0.33 |
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0.34 |
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HR |
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55 |
62 |
66 |
72 |
81 |
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86 |
(/min) |
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VO2/HR |
3.1 |
5.8 |
6.8 |
8.7 |
7.2 |
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8.0 |
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METS |
1.1 |
2.3 |
2.9 |
3.3 |
3.7 |
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4.4 |
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BP |
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(mmHg) |
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[血液ガス検査] |
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安静時 |
2分後 |
4分後 |
6分後 |
8分後 |
10分後 |
12分後 |
14分後 |
16分後 |
終了時 |
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pH |
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7.420 |
7.417 |
7.414 |
7.405 |
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7.383 |
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PaO2 |
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97.4 |
97.6 |
99.0 |
99.3 |
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92.7 |
(mmHg) |
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PaCO2 |
36.3 |
373.0 |
36.3 |
35.8 |
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36.6 |
(mmHg) |
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HCO3 |
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23.1 |
23.6 |
22.7 |
22.0 |
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21.3 |
(mm/L) |
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BE |
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-0.5 |
-0.2 |
-0.9 |
-1.7 |
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-2.7 |
(mm/L) |
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SAT |
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99.7 |
98.2 |
99.8 |
99.5 |
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99.7 |
(%) |
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SpO2 |
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99 |
99 |
98 |
98 |
98 |
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98 |
(%) |
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Lactate |
0.8 |
1.1 |
1.8 |
2.9 |
4.0 |
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4.5 |
(mg/dl) |
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NA |
|
0.316 |
0.426 |
0.517 |
0.646 |
0.82 |
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1.004 |
(ng/ml) |
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Ad |
|
0.148 |
0.099 |
0.097 |
0.092 |
0.105 |
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0.091 |
(ng/ml) |
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[コメント] |
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1. |
ECG所見 VPB: なし SVPB:
なし その他: |
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ST変化: なし 心電図判定: 陰性 |
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2. |
peak VO2は予測値(1111ml/min)の 62.2 %であり、運動能は 低下 を示唆する。 |
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3. |
運動中の換気当量(VE/VO2)は 健常より大 であり、換気効率は 低下 |
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VEmax/MVV=80.6% 換気パターンは |
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VEmax/VEpred= 147.3%(VEpred 23.4 l/min) |
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4. |
最大運動時のPaO2は
92.7Torrであり、低酸素血症(PaO2<60mmHg)は呈しない。 |
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PaO2slope=-0.91 |
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PaCO2slope=0.06Torr/100mlVO2 |
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5. |
運動に伴い、HRは 正常に増加、O2pulse(VO2/HR)は 頭打ち であり、心機能は 低下 を示唆する。 |
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HRmax/THR=57.7% |
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6. |
AT(V-slope)= ml/min |
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AT(Lactate)= ml/min |
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NT= ml/min |
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7. |
運動制限因子は |
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11.その他 |
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<症例85-前> |
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